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Reaching consensus on the physiotherapeutic management of patients following upper abdominal surgery : a pragmatic approach to interpret equivocal evidence

dc.contributor.authorHanekom, Susan D.en_ZA
dc.contributor.authorBrooks, Dinaen_ZA
dc.contributor.authorDenehy, Lindaen_ZA
dc.contributor.authorFagevick-Olsen, Monikaen_ZA
dc.contributor.authorHardcastle, Timothy C.en_ZA
dc.contributor.authorManie, Shamilaen_ZA
dc.contributor.authorLouw, Quinetteen_ZA
dc.date.accessioned2012-05-17T14:17:30Z
dc.date.available2012-05-17T14:17:30Z
dc.date.issued2012-02-06
dc.identifier.citationhanekom, S. D., et al. 2012. Reaching consensus on the physiotherapeutic management of patients following upper abdominal surgery; a pragmatic approach to interpret equivocal evidence.BMC Medical Informatics and Decision Making, 12(1),5:1-9en_ZA
dc.identifier.urihttp://dx.doi.org/10.1186/1472-6947-12-5
dc.identifier.urihttp://hdl.handle.net/10019.1/21115
dc.descriptionThe original publication is available at http://www.biomedcentral.com/1472-6947/12/5en_ZA
dc.descriptionPublication of this article was funded by the Stellenbosch University Open Access Fund.
dc.description.abstractAbstract Background Postoperative pulmonary complications remain the most significant cause of morbidity following open upper abdominal surgery despite advances in perioperative care. However, due to the poor quality primary research uncertainty surrounding the value of prophylactic physiotherapy intervention in the management of patients following abdominal surgery persists. The Delphi process has been proposed as a pragmatic methodology to guide clinical practice when evidence is equivocal. Methods The objective was to develop a clinical management algorithm for the post operative management of abdominal surgery patients. Eleven draft algorithm statements extracted from the extant literature by the primary research team were verified and rated by scientist clinicians (n = 5) in an electronic three round Delphi process. Algorithm statements which reached a priori defined consensus-semi-interquartile range (SIQR) < 0.5-were collated into the algorithm. Results The five panelists allocated to the abdominal surgery Delphi panel were from Australia, Canada, Sweden, and South Africa. The 11 draft algorithm statements were edited and 5 additional statements were formulated. The panel reached consensus on the rating of all statements. Four statements were rated essential. Conclusion An expert Delphi panel interpreted the equivocal evidence for the physiotherapeutic management of patients following upper abdominal surgery. Through a process of consensus a clinical management algorithm was formulated. This algorithm can now be used by clinicians to guide clinical practice in this population.en_ZA
dc.format.extent9 p.
dc.language.isoen_ZAen_ZA
dc.publisherBioMed Centralen_ZA
dc.subjectAbdomen -- Surgeryen_ZA
dc.subjectPhysical therapyen_ZA
dc.titleReaching consensus on the physiotherapeutic management of patients following upper abdominal surgery : a pragmatic approach to interpret equivocal evidenceen_ZA
dc.typeArticleen_ZA
dc.date.updated2012-02-28T20:05:27Z
dc.description.versionPublishers' Versionen_ZA
dc.language.rfc3066en
dc.rights.holderHanekom et al.; licensee BioMed Central Ltd.en_ZA


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